Organization Active NPI

Anthony J. Hornaday, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Muncie, IN
National Provider Identifier
1235547498
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ANTHONY J. HORNADAY, D.D.S.
Practice address
620 S Tillotson Ave
Muncie, IN 47304-4448
Phone
(765) 289-9705
Fax
(765) 289-9706
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony J. Hornaday, D.D.S.NPI 1407897523
Title
Owner/Oral & Maxillofacial Surgeon
Phone
(765) 289-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X IN Primary

Addresses

Primary practice location

620 S Tillotson Ave
Muncie, IN 47304-4448

Mailing address

620 S Tillotson Ave
Muncie, IN 47304-4448
Phone (765) 289-9705

Other identifiers 1

IdentifierTypeStateIssuer
200421550AMedicaidIN

National Provider Directory

National Provider Directory

Locations

620 S Tillotson Ave
Muncie, IN 47304
Phone (765) 289-9705

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1235547498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044448",
            "telephone_number": "765-289-9705",
            "fax_number": "765-289-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473044448",
            "telephone_number": "765-289-9705",
            "fax_number": "765-289-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J. HORNADAY, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "HORNADAY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER/ORAL & MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "765-289-9705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200421550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.